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To the National Committee for the Furtherance of Jewish Education
and the Principal of PS
Please enroll my child in the Released Time Program
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First Name |
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Last Name |
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Mother's Jewish Name |
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Address |
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City/State/Zip |
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Primary Number |
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Secondary Number |
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Mother's Email address |
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| Father's Email address |
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Date of Birth |
Year |
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Gender |
Boy Girl
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Grade |
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Room Number |
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PS |
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Borough |
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Comment (optional) |
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As the Parent or legal guardian of the above child, I enroll my above child in the Released Time Program, throughout the school year of 2021/22.
Name Initials Date
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- OPTIONAL -
To add more children in the same household, please use the fields below:
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Child 2:
First Name
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Last Name
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Date of birth
Year
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Gender Boy Girl |
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PS |
Grade
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Room Number
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Child 3:
First Name
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Last Name
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Date of birth
Year
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Gender Boy Girl |
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PS
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Grade
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Room Number
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